The complex posttraumatic knee: surgical techniques and implant selection

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  • Soft-tissue balancing to correct deformity
  • Choosing the implant to complement the soft-tissue balancing
  • Existing hardware: removal in one-stage versus two-stage
  • Managing bone loss or defects and fixation of implants in the complex TKA
  • How to choose the augments, extension stems, and fixation?
  • Wound closure and complications
  • Rehabilitation
  • Conclusion

Part 1 | Preoperative planning

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Part 2 | Corrective osteotomy

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Contributing experts

This series of articles was created with the support of the following specialists (in alphabetical order):

Friedrich Boettner

Hospital for Special Surgery
New York, USA

Brian P Chalmers

Hospital for Special Surgery
New York, USA

Austin T Fragomen

Hospital for Special Surgery
New York, USA

The authors thank Antia Rodriguez-Villalon and Laura Kehoe, medical writers at AO Innovation Translation Center, Switzerland, for contributing to the writing and editing of the articles.

References

  1. Lunebourg A, Parratte S, Gay A, et al. Lower function, quality of life, and survival rate after total knee arthroplasty for posttraumatic arthritis than for primary arthritis. Acta Orthop. 2015 Apr;86(2):189–194.
  2. Boettner F. The challenges of total knee arthroplasty in posttraumatic osteoarthritis: a cook book approach. MO Journal Europe. 2022 Septtember-October 2022(3):1,8–17.
  3. Dennis D. TKA Sagittal Plane Balancing: Lineage Medical Inc.; 2020 [updated 01.04.2020; cited 2022 31.05.2022]. OrthoBullets]. Available from: https://www.orthobullets.com/recon/5016/tka-sagittal-plane-balancing.
  4. Song SJ, Park CH, Bae DK. What to Know for Selecting Cruciate-Retaining or Posterior-Stabilized Total Knee Arthroplasty. Clin Orthop Surg. 2019 Jun;11(2):142–150.
  5. Varacallo M, Luo TD, Johanson NA. Total Knee Arthroplasty Techniques. StatPearls. Treasure Island (FL): StatPearls Publishing
    Copyright © 2022, StatPearls Publishing LLC.; 2022.
  6. Tanzer M, Makhdom AM. Preoperative Planning in Primary Total Knee Arthroplasty. J Am Acad Orthop Surg. 2016 Apr;24(4):220–230.
  7. Kuzyk PR, Dhotar HS, Sternheim A, et al. Two-stage revision arthroplasty for management of chronic periprosthetic hip and knee infection: techniques, controversies, and outcomes. J Am Acad Orthop Surg. 2014 Mar;22(3):153–164.
  8. Dorr LD. Bone grafts for bone loss with total knee replacement. Orthop Clin North Am. 1989 Apr;20(2):179–187.
  9. Qiu YY, Yan CH, Chiu KY, et al. Review Article: Bone Defect Classifications in Revision Total Knee Arthroplasty. Journal of Orthopaedic Surgery. 2011;19(2):238–243.
  10. Chun CH, Kweon SH, Kim HJ, et al. Revision Total Knee Arthroplasty using NexGen® LCCK with Allograft. jkoa. 2008 12;43(6):728–737.
  11. Lonner JH, Lotke PA. Aseptic Complications After Total Knee Arthroplasty. JAAOS - Journal of the American Academy of Orthopaedic Surgeons. 1999;7(5):311–324.
  12. Naylor BH, Tarazi JM, Salem HS, et al. Wound Management following Total Knee Arthroplasty: An Updated Review. J Knee Surg. 2021 Jul 14.
  13. Gehrke T, Alijanipour P, Parvizi J. The management of an infected total knee arthroplasty. Bone Joint J. 2015 Oct;97-B(10 Suppl A):20–29.